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General NPI Number Information
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NPI Number | 1437581360
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Entity Type | Individual
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Provider Name | ALEXANDER JOHN SCOTT SMITH DDS
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Gender | Male
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Dates
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Enumeration Date | 08/02/2013
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Last Update Date | 08/26/2015
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Provider Practice Location Address
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Address Line | 265 WESTLAKE RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-4869
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Country | US
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Telephone | 910-864-2944
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Fax |
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Provider Business Mailing Address
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Address Line | 131 S LAKESHORE DR
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City | WHISPERING PINES
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State | NC
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Zip | 28327-9340
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Country | US
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Telephone | 154-172-9246
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.023946
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9995
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License Number State | NC
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